| Title: |
The impact of digital interventions on health insurance coverage for reproductive, maternal, newborn and child health services utilization in Kakamega, Kenya: a cluster randomized controlled trial |
| Authors: |
Abajobir, Amanuel; de Groot, Richard; Wainaina, Caroline; Pradhan, Menno; Janssens, Wendy; Sidze, Estelle M |
| Contributors: |
The Dutch National Postcode Lottery, the Joep Lange Institute, and the Dutch Ministry of Foreign Affairs through the Health Insurance Fund, funded the study |
| Source: |
Health Policy and Planning ; volume 39, issue 10, page 1007-1021 ; ISSN 1460-2237 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2024 |
| Description: |
The National Hospital Insurance Fund (NHIF) of Kenya was upgraded to improve access to healthcare for impoverished households, expand universal health coverage, and boost the uptake of essential reproductive, maternal, newborn and child health (RMNCH) services. However, premiums may be unaffordable for the poorest households. The Innovative Partnership for Universal Sustainable Healthcare (i-PUSH) programme targets low-income women and their households to improve their access to and utilization of quality healthcare, including RMNCH services, by providing subsidized, mobile phone-based NHIF coverage in combination with enhanced, digital training of community health volunteers and upgrading of health facilities. This study evaluated whether expanded NHIF coverage increased the accessibility and utilization of quality basic RMNCH services in areas where i-PUSH was implemented using a longitudinal cluster randomized controlled trial in Kakamega, Kenya. A total of 24 pair-matched villages were randomly assigned either to the treatment or the control group. Within each village, 10 eligible households (i.e. with a woman aged 15–49 years who was either pregnant or with a child |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/heapol/czae079 |
| DOI: |
10.1093/heapol/czae079/58919484/czae079.pdf |
| Availability: |
https://doi.org/10.1093/heapol/czae079; https://academic.oup.com/heapol/advance-article-pdf/doi/10.1093/heapol/czae079/58919484/czae079.pdf; https://academic.oup.com/heapol/article-pdf/39/10/1007/60812493/czae079.pdf |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.4C4545FE |
| Database: |
BASE |